Provider Demographics
NPI:1659742484
Name:HUYNH, HONG THI (BS)
Entity Type:Individual
Prefix:
First Name:HONG
Middle Name:THI
Last Name:HUYNH
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2726 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-1314
Mailing Address - Country:US
Mailing Address - Phone:510-302-8951
Mailing Address - Fax:510-479-1180
Practice Address - Street 1:2726 GARDEN ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-1314
Practice Address - Country:US
Practice Address - Phone:510-302-8951
Practice Address - Fax:510-479-1180
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health